Atypical clinical and neuroradiological presentation in a patient with mitochondrial neurogastrointestinal encephalomyopathy with anterior leukoencephalopathy

Year 2010, Volume: 15 Issue: 3, 103 - 107, 17.01.2013

Serap Teber Arzu Yılmaz Mehmet Akif Teber Ömer Bektaş Erhan Aksoy Gülhis Deda

Abstract

Abstract. The clinical presentation of mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) is somewhat varied. Here we report  a 14 year old patient who had been followed for iron and zinc deficiency anemia since 1 year old and who did not respond to several regimes of  iron and zinc therapy. He was diagnosed with MNGIE when he had developed opthalmoplegia at 14 years of age. In contrast with a diffuse leukoencephalymyopathy generally seen in MNGIE patients, cranial MRI showed that the leukoencephalopathy was localized mainly to the frontal lobes of the patient at his first admission.

 

Key words:  MNGIE, anemia, leukoencephalopathy

Keywords

MNGIE , anemia , leukoencephalopathy

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